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Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID 19

From the Emergency Cardiovascular Care Committee and Get With the Guideline-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians.

Edelson DP, Sasson C, Chan PS, et.al. Circulation

10.1161/CIRCULATIONAHA.120.047463

Guidelines written regards CPR during the COVID – 19 Pandemic with a major focus on professions safety of Resuscitation Team Members in managing patients known or at risk for COVID – 19 infection.

  • Interim Guidelines emphasize protecting responders
  • Assess risk of infection vs. the likelihood of a successful resuscitation –Older patients with multiple comorbidities are less likely to survive
  • Providers should utilize PPE including a face-mask.
  • Hands-only CPR can be performed for out of hospital Cardiac Arrest but some aerosolization can occur even without direct airway management. Ideally a face mask should be placed on the victim as well.
  • In-hospital limit personnel in room to be important members of the team; prohibit students or observers.
  • For patients with a primary respiratory arrest, consider immediate intubation to minimize aerosolization from breathing bags, high flow oxygen or other used initial treatments.